Jeffrey Lawrence Eiberson in Philadelphia - Clinical

Jeffrey Lawrence Eiberson - NPI 1629058870

Jeffrey Lawrence Eiberson is a Clinical in Philadelphia, Pennsylvania. Jeffrey Lawrence Eiberson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeffrey Lawrence Eiberson is 1629058870. The last update date is 2007-07-08.

Jeffrey Lawrence Eiberson's current location address is 1326 Spruce St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2155461767. The mailing address for Jeffrey Lawrence Eiberson is 1326 Spruce St, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Lawrence Eiberson
Address 1326 Spruce St, Philadelphia, Pennsylvania
Phone Number 2155461767
Fax Number
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1629058870
Provider Enumeration Date 2006-01-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1326 Spruce St
City Philadelphia
State Pennsylvania (PA)
Post Code 191075826
Phone Number 2155461767
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PA LIC. #PS0
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
246945000 PA MAGELLAN HEALTH CARE
4365980 PA AETNA HEALTH CARE
438240 PA HIGHMARK BLUE SHEILD
63120000 PA BC PERSONAL CHOICE

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FAQs about Jeffrey Lawrence Eiberson

What is the unique 10-digit identifier code assigned to Jeffrey Lawrence Eiberson by the Centers for Medicare & Medicaid Services?

The Jeffrey Lawrence Eiberson has been issued the NPI (National Provider Identifier) 1629058870 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Jeffrey Lawrence Eiberson is geographically located?

The Jeffrey Lawrence Eiberson is physically situated at the following location: 1326 Spruce St, Philadelphia, PA, 191075826.

What is the area of specialization for Jeffrey Lawrence Eiberson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jeffrey Lawrence Eiberson is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1629058870 to Jeffrey Lawrence Eiberson?

The Centers for Medicare & Medicaid Services originally issued the 1629058870 to Jeffrey Lawrence Eiberson on 2006-01-21.

As of what date was the information regarding Jeffrey Lawrence Eiberson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jeffrey Lawrence Eiberson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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